30B-082 2010
February 11, 2010
To Whom It May Concern:
In the summer of 2009 we had construction done our house by Mark Sarafin (Sarafin
Builders). Unfortunately, Mark left before the work was completed, therefore we fired
him. He did not leave the permit, nor did he have the inspections completed. We
currently do not have a Certificate of Occupancy.
If you have any questions or require further information, please call us at 413 -586 -3673
or send an email to ciii.l ct;h't >vv a N,11100 C0111
Thank you,
ri I, l ��' --`
Elizabeth Bristow Steiniger
VVVV
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ENTRY 1
I 4' -9" x 12 LIVING
il 13' -0" x 12' -5" j `
OPEN BELOW Ii!
3' -5" x 8' -0" '
II DN
I 3068 2668 2768
!
1 111 1 1 V LAUNDRY
6'- 10"x2'-11"
\ 5066 //
"
3068 jj j
i ,
/ HALL
9' -5" x 3' -2"
I 2868 2668
�! DINING ;u
12' -2" x 14' -2" CLOSET
II 1 3' -5" x 11 -11"
(i A ___
!i BATH
1l /--- -7 9' -5" x 7' -3" �I
KITCHEN
1 1 ! 18 x 15' -0"
3068
!
il
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,
3 ` ' L \A- N. 4 `'_' LIVING AREA
919sgft
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co
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CLOSET CO
t3' -5" x 3' -11"
twAc71Z-2 -- 0*- \ eCA-o -ec
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C. 0 C,�.a.\ OA Ov,px.c n(� I
e BEDROOM
13' -2" x 12' -5"
I
CLOSET -- \ 0 .
4' -9" x 12'-4" 1 ---' - -
2668
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CLOSET
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xt 9'-6"_x V-8"
ALL
T -1 "x3' 10" q
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1 7' -3" x 3' -6" BEDROOM
2668 STUDY 12' -0" x 12' -1"
9 -7 x 10 -0
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1 10' -t3" x 15' -0" i�
I MASTER BDRM .
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I 7' -3" x 11' -1"
to
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LIVING AREA
1 2' -11' x 4. -10" I 950 sq ft
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f1'-8" x 26-8"
L‘CL
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t 0 LIVING AREA
950 sq ft
,0,1c, 1-1-01105 i?.`(okiD '
Roof Assembly:
— Asphalt roof shingle over 30 Lb felt paper
---- --- 5/8" CDX plywood sheathing
l`'----- 2" x 6 rafters 16" on st with 12" rafter tail
lL �`'� (2" x 4" x 10" wide - barge & lookout rafter;
G r `� :-- "Grace" ice & water barrier (3' wide) along et
~ - — Aluminum drip edge
-_ Solid blocking between rafters
f _ ` * Continuous Air barrier - Flash coat 1" thick
- _ -- - • .;_, '; --- • Ensure no air can leak through eave to atti±
► *Caulk or foam all mechcanical penitrations
/ — 2" x 6" ceiling joists 16" on 4
"
�.,1 ' — - 15" blown cellulose insulation (R - 52)
� � �°'w{ - _ -�- - ....__._ -- _ ---------- Continuous Continuous vapor barrier - tape & /or caulk al
- - -- - - - --..T ------- .... -1/2" DW - finish smooth
_ Wall Assembly:
— Cedar clpboard to match existing house
5/8" plywood or OSB sheathing
• Continuous Air barrier - caulk all plywood t+
• Caulk plywood to foundation seam
l ism! • Caulk plywood to existing house seams
" Foam in around all windows
I — - -- -- * Ii " Foam or caulk all mechanical penetrations
3 "� , 2" x 6" studs -16" on 4
ti Ef i t1E "{ roN l (Double 2" x 10" header with 2.5" EPS core
11 � "Macro
_ ( "Dry pack" blown cellulose insulation (R - 20
" -- ---- 112" OW - finish smooth
Floor Assembly:
— 3/4" hardwood strip flooring or selection by r
I & /8" Advantech subfloor
— 2" x 10" floor joists 16" on 4
' Continuous Air barrier - Spray 3" thick Urei
L._ ! Floor Assembly:
_�. u --- 3/4" hardwood strip flooring or selection by t
wpm wIYIrmi — 5/8" Advantech subfloor
di r _ - — 2" x 10" floor joists 16" on t;
g — 2" x 6" P.T. sill shim to align frame to finish
Ex1 . 111.1(- rOU fb1,1 i I * Continuous Air barrier - Spray 3" thick Ure!
O'$ Aueli0wfr"(t ftW frk(E I 1
` Cover sill plate with 3" of spray Urethane fc
1J1' WO riij1.9l1 fLog. Foundation Assembly:
— Existing foundation to remain
Adjust (lower) top course as needed to align
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Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non - Circulating Runouts Circulating Mains and Runouts
Temperature (F) Up to 1" Up to 1.25" 1.5" to 2.0" Over 2"
170 -180 0.5 1.0 1.5 2.0
140 -160 0.5 0.5 1.0 1.5
100 -130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range ( F) 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4"
Heating Systems
Low Pressure/Temperature 201 -250 1.0 1.5 1.5 2.0
Low Temperature 120 -200 0.5 1.0 1.0 1.5
Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water, Refrigerant, 40 -55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
[ ] Materials and equipment must be identified so that compliance can be determined.
[ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ j Insulation R- values and glazing U- values must be clearly marked on the building plans or specifications.
Duct Insulation:
[ ] Ducts shall be insulated per Table J4.4.7.1.
Duct Construction:
[ ] All accessible joints, seams, and connections of supply and return ductwork located outside
conditioned space, including stud bays or joist cavities /spaces used to transport air, shall be sealed
using mastic and fibrous backing tape installed according to the manufacturer's installation
instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted.
[ ] The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
[ ] Thermostats are required for each separate HVAC system. A manual or automatic means to
partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided.
Heating and Cooling Equipment Sizing:
[ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as
specified in Sections 780CMR 1310 and J4.4.
Circulating Hot Water Systems:
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
[ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
of the heating energy is from non - depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[ ] HVAC piping conveying fluids above 120 ° F or chilled fluids below 55 ° F must be insulated to the
levels in Table 2.
4
MECcheck Inspection Checklist
Massachusetts Energy Code
MECcheck Software Version 3.2 Release la
DATE: 05/10/09
TITLE: bristow
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1: Cathedral Ceiling (no attic), R -30.0 cavity insulation
Comments:
Above -Grade Walls:
[ ] 1. Wall 1: Wood Frame, 16" o.c., R -19.0 cavity insulation
Comments:
Windows:
[ ] 1. Window 1: Vinyl Frame, Double Pane with Low -E, U- factor: 0.310
For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
Skylights:
[ ] 1. Skylight 1: Wood Frame, Double Pane with Low -E, U- factor: 0.530
For skylights without labeled U- factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
Doors:
[ ] 1. Door 1: Glass, U- factor: 0.310
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
Floors:
[ ] 1. Floor 1: All -Wood Joist/Truss, Over Unconditioned Space, R -19.0 cavity insulation
Comments:
Air Leakage:
[ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] When installed in the building envelope, recessed lighting fixtures
shall meet one of the following requirements:
1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture
and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space.
2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944
L /s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture
shall have been tested at 75 PA or 1.57 lbs /ft2 pressure difference and shall be labeled.
Vapor Retarder:
[ ] Required on the warm -in- winter side of all non - vented framed ceilings, walls, and floors.
Materials Identification:
r
Permit Number
MECcheck Compliance Report
Massachusetts Energy Code
MECcheck Software Version 3.2 Release la Checked By/Date
TITLE: bristow
CITY: Northampton
STATE: Massachusetts
HDD: 6404
CONSTRUCTION TYPE: 1 or 2 Family, Detached
HEATING SYSTEM TYPE: Other (Non- Electric Resistance)
DATE: 05/10/09
DATE OF PLANS: 5109
COMPANY INFORMATION:
Sarafin Builders
COMPLIANCE: Passes
Maximum UA = 163
Your Home = 150
8.0% Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R -Value R -Value U- Factor UA
Ceiling 1: Cathedral Ceiling (no attic) 360 30.0 0.0 12
Skylight 1: Wood Frame, Double Pane with Low -E 18 0.530 10
Wall 1: Wood Frame, 16" o.c. 1180 19.0 0.0 60
Window 1: Vinyl Frame, Double Pane with Low -E 155 0.310 48
Door 1: Glass 21 0.310 7
Floor 1: All -Wood Joist/Truss, Over Unconditioned Space 266 19.0 0.0 13
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has been designed to
meet the Massachusetts Energy Code requirements in MECcheck Version 3.2 Release la.
The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard
Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater
than 125% of the design load as sp ified in Sec ' ns 7 CMR 1310 and J4.4.
Builder /Designer We Date Jj _ t'° / c�
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his /her construction supervisor. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he /she resides or intends to be, a one or two family
dwelling, attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two -year period shall not be considered a
home owner."
The building department for the City of Northampton wants person(s) who seek to use
the home owner exemption, to act as their own construction supervisor, to be aware that
by doing so you become responsible for compliance with state building codes and
regulations. The inspection process requires that the building department be called to
inspect work at various stages, which include foundation /footings (before backfill),
sonotube holes (before pour), a rough building inspection (before work is
concealed), insulation inspection (if required) and a final building inspection. The
building department requires these inspections before the work is concealed, failure to
secure these inspections can result in failure to obtain a certificate of occupancy
until the work can be inspected.
If the homeowner hires other trades to perform work (electrical, plumbing & gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
permits in conjunction to the building permit issued, and that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
made
I, understand the above.
(Home owner /resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date
Address of work
location
4. .
wr. ,
The Commonwealth of Massachusetts
Department of Industrial Accidents
it, Office bf Investigations
600 Washington Street
Boston, MA 02111
=_ d www.mass.gov /dia
Workers' Compensation Insurance Affidavit: Builders /Contractors/Electricians /Plumbers
Applicant Information Please Print Legibly
Name ( Business /Organization/Individual): 1M w rL �L 2 Dv-.x, 2 �. ..�
Address: `-A a .ere,, .„ N^ -'G C
City /State /Zip: ' ja .4 b(b 5 Phone #: L4 13 -Sd - 3 C 1 'a
Are you an employer? Check the appropriate box: Type of project (required):
1.7LI am a employer with 4. 111 I am a general contractor and I
W have hired the sub contractors 6. ❑ New construction
employees (full and/or part- time).
2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub - contractors have g. Demolition
working for me in any capacity. employees and have workers' 9. xi Building addition
[No workers' comp. insurance comp. insurance.$
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3. ❑ I am a homeowner doing all work
officers have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12. ❑ Roof repairs
insurance required.] t c. 152, § 1(4), and we have no
employees. [No workers' 13. ❑ Other
comp. insurance required.]
*Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the name of the sub - contractors and state whether or not those entities have
employees. If the sub - contractors have employees, they must provide their workers' comp. policy number.
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: � 'E'v�`Q2C. C&\ \ _
Policy # or Self -ins. Lic. #: (j) - 41 CO Expiration Date: (Q k — d
Job Site Address: " J l L.IA VD 0 5 k 4 2'f'£ ' City /State /Zip: Vl �o'\ O‘ Cpl Q b
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the ins and pen es of erjury that the information provided above is true and correct.
Signature: M Date: 8
Phone #: y l 3 "Sd - C, ) '7
Official use only. Do not write in this area, to be completed by city or town official
City or Town: Permit/License #
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone #:
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑ ? , r
Name of License Holder: V"\( \‘` 2 "2.\4_. ,����• CS ‘53
License Number
Addres Expiration Date
` f/ 3 — sa - et a
Signature Telephone
9. Registered Home Improvement Contractor` Not Applicable ❑
' v4 2 \ c `LQ 0'A-9-6,5--
Company Name Registration Number
y a Pere tnn.,.• p\ O
Address j Expiration Date
�� Telephone `"f/3 -5-
SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes [ No ❑
11. - Home Owner.Eiernptlon
The current exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (1) or two(2) families
and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts
as supervisor. CMR 780, Sixth Edition Section 108.3.5.1.
Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there
is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm
structures. A person who constructs more than one home in a two - year period shall not be considered a homeowner.
Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he /she shall be
responsible for all such work performed under the building permit.
As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to
Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned "homeowner" certifies and assumes responsibility-for compliance with the State Building Code, City of
Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ Addition Replacement Windows Alteration(s) n Roofing n
Or Doors El
Accessory Bldg. ❑ Demolition Die New Signs [DI Decks Siding [ ❑j Other [❑i
Brief Desc_Aption of Proposed Q /� �1 (�
Work: t�'C le.C'e �. \�►� .�y 11 Il 1 EL 1�ci, IN ✓l -e w cx # oc QA�epr k\OI\ \ ✓\
.5o. �e �' c�o� (a■ ,.. 1
Attached Narrative existing bedroom Yes No Renovating Adding unfinished basement Yes No Noo ' Lau
Plans Attached Roll
6a. If New house and or addition to existing housing, complete the following:
a. Use of building : One Family 2c Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms a
c. Is there a garage attached? C7 —1
d. Proposed Square footage of new construction. 5 �T 4) Dimensions \ (-1
e. Number of stories? OZ
f. Method of heating? \ \ Fireplaces or Woodstoves ){ Number of each _
g. Energy Conservation Compliance. `•eS Masscheck Energy Compliance form attached?
h. Type of construction 66
Is construction within 100 ft. of wetlands? Yes )■ No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade A QO c!O
k. Will building conform to the Building and Zoning regulations? A, Yes No .
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
, as Owner of the subject
property
hereby authorize Y ��''2�C ' v= 'et c■"■
to ac n my behalf, in all matters relative to work authorized by this building permit application.
Signa re-of Owner . Date
I, VY\ NA, .2.\e„,_ Sisa V1 , as Owner /Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
Print Name
Signature of Owner /Agent Date
i
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side
Rear _ _....
Building Height �...
Bldg. Square Footage
Open Space Footage °
(Lot area minus bldg & paved
parking)
# of Parking Spaces
Fill:
(volume & Location)
A. Has a Special Permit /Variance /Finding ever been issued for/on the site?
NO DONT KNOW YES C
IF YES, date issued:
YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW YES 0
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO ;rl10 DONT KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES 0 NO i► ®r
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO 0 %1
IF YES, describe size, type and location:
E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 NO
IF YES, than a Northamptnn Storm 1Alater Management Permit from the DPW is required.
1
Department use only
City of Northampton Status of Permit
Building Department Curb CUtlDrflrervwy Perm+t
212 Main Street Sewer/SepticAvailabildy
Room 100
Northampton, MA 01060 Tw' Sea€StructuralPlans
phone 413 - 587 -1240 Fax 413 - 587 -1272
Other Speedy
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR EM•h ISH A ONE OR TWO FAMILY DWELLING
21
SECTION 1 - SITE INFORMATION
1.1 Property Address: This see ii to be completed by office
3■ 54 �-e Jr Map D Lot 00 1 Unit
Zone Overlay District
r \ Elm St District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
E I %-z.& 3\ t.,w ` � �
7 -e , e g
) - � r 4-a , 1 Y1 , ..3-
Name rint) Current Mailing Add re s
Telephone
Signature
2.2 Authorized Agent: y a c , OAYe,tOO•.�7 �c•�
OA ro,✓t , '5 c rl va tr"\ S � c? \ vn. o— 1/1A-✓ 01 0
Name (Pri
// 7 Current Mailing Address:
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building (a) Building Permit Fee
4 63 cc ,
2. Electrical (b) Estimated Total Cost of
1 b. 006. Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC) a
5. Fire Protection
6. Total= (1 +2 +3 +4 +5) \ O&.o, 0 Ob. — Check Number * S312 636.Oa
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner /Inspector of Buildings Date
File # BP- 2009 -0994
APPLICANT /CONTACT PERSON MARK SARAFIN
ADDRESS/PHONE 42 Pomeroy Meadow Road SOUTHAMPTON (413) 527 -7812
PROPERTY LOCATION 31 LADD AVE
MAP 30B PARCEL 082 001 ZONE SI(100) //WP
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out �l / /
Fee Paid 53 72 �ID w ? LO'
Typeof Construction: REPLACE 14 X 19 ELL W/ 2 STORY ADDITION (ADD 1ST FLR BATH)
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 053434
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION PRESENTED:
Approved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND /OR Special Permit With Site Plan
Major Project: Site Plan AND /OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
C; l d'G o
r d
Signature of Building Official Date /
g g
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health, Conservation Commission, Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning & Development for more information.
BP- 2009 -0994
Is COMMONWEALTH OF MASSACHUSETTS
141111°4.i' CITY OF NORTHAMPTON
ot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
ermit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
:ategory: ADDITION BUILDING PERMIT
?ermit # BP-2009-0994
?roiect # JS- 2009 - 001376
Est. Cost: $106000.00
Fee: $636.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: MARK SARAFIN 053434
Lot Size(sa. ft.): 29882.16 Owner: STEINIGER THOMAS L & ELIZABETH BRISTOW - STEINGER
Zoning: SI(100) / /WP Applicant: MARK SARAFIN
AT: 31 LADD AVE
Applicant Address: Phone: Insurance:
42 Pomeroy Meadow Road (413) 527 -7812
Workers Compensation
SOUTHAMPTONMA01073 ISSUED ON:6/1/2009 0:00:00
TO PERFORM THE FOLLOWING WORK: REPLACE 14 X 19 ELL W/ 2 STORY ADDITION
(ADD 1ST FLR BATH)
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House # Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace /Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 6/1/2009 0:00:00 $636.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo